Individual
GARY BOWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
175 UNION CHAPEL RD, CEDAR CREEK, TX 78612-3111
(512) 303-4821
Mailing address
175 UNION CHAPEL RD, CEDAR CREEK, TX 78612-3111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06704
TX
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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